Determination of the isokinetic muscle strength profile of knee flexors and extensors in visually impaired long-distance athletes: Pilot study<p>Görme engelli uzun mesafe atletizm sporcularında diz fleksör ve ekstansörlerinin izokinetik kas kuvvet profilinin belirlenmesi: Pilot çalışma
Keywords:
Visually Impaired Long Distance Runners, İsokinetic Evaluation, H/Q Ratio, Muscle Strength, Görme engelli atletizm, İzokinetik değerlendirme, H/Q oranı, Kas kuvvetiAbstract
Purpose: The aim of this study is to determine the isokinetic muscle strength profile of knee flexor and extensor muscles of visually impaired long distance running athletes and compare them with the literature.
Methods: The study consisted of 7 male visually impaired long distance running athletes aged between 19-28 (means 24,14±3,23), who complied with the criteria and voluntarily participated in the study. İsokinetic measurement was performed with Isomed 2000® device. İn isokinetic evaluation, maximal muscle strength, muscle strength ratios, percentage of right-left strength difference ratio of knee flexors and extensors were recorded. İsokinetic testing protocol; before the test all athletes performed the knee flexion and extension isokinetic test with the 5 repeating at 90 º/sec as a warm-up and for comprehenting the test. Then, knee flexion and extension concentric-concentric strength measurements were performed with the 5 repeating at 60 º/sec and with the 15 repeating at 180 º/sec with the angle between 90 degrees of knee flexion and 10 degrees of knee extension. The evaluations were performed bilaterally, first dominant side and after 3 minutes non dominant side was evaluated.
Results: The H / Q peak torque ratio of the athletes is 53.55% for the dominant side and 55.47% for the non-dominant side at 60º / sec. velocity while 59.05% for the dominant side and 61.34% for the non-dominant side at 180º / sec. velocity. When the H / Q peak torque ratio of the athletes was compared between dominant and non-dominant sides, there was no difference in both angular velocities (p>0.05). Knee flexion and extension isokinetic muscle strength’s difference were determined lower than %10 for both angular angles when compared to the asymmetry of the right and left extremities. It was found that this was in accordance with the literature and there was no asymmetry between the right and left sides.
Conclusion: In visually impaired long distance runners, having H/Q ratio lower than normal borders against knee flexors for both sides at 180°/sec. angular velocity poses a risk for injuries. In terms of prevention of sports injuries, it is necessary for the athletes to maintain muscle force balance which is specific to each angular velocity and to exercise with sports-specific exercises.
Extended English abstract is in the end of PDF (TURKISH) file.Özet
Amaç: Bu çalışmanın amacı görme engelli uzun mesafe atletizm sporcularının diz fleksör ve ekstansör kaslarının izokinetik kas kuvvet profilini belirlemek ve literatürdeki bilgilerle karşılaştırmaktır.
Method: Çalışmamıza; 19-28 (Ort. 24,14±3,23) yaş aralığında 7 erkek görme engelli uzun mesafe atletizm sporcusu dâhil edildi. İzokinetik kas kuvveti Isomed 2000® cihazı ile değerlendirildi. İzokinetik değerlendirmede diz fleksör ve ekstansörlerinin maksimum kas kuvveti, kas kuvvet oranları, sağ-sol kuvvet farkı oranı yüzdesi kaydedildi. Değerlendirmede 90-10 º fleksiyon açılarında konsantrik-konsantrik kuvvet ölçümü yapıldı. İzokinetik test protokolü olarak; 5 tekrarlı 90º/sn. hızla testi anlama ve submaksimal ısınma hareketinden sonra, 5 tekrarlı 60º/sn. hızla ve 15 tekrarlı 180º/sn. hızla maksimal diz fleksiyon ve ekstansiyon hareketleri yaptırıldı. Değerlendirmeler bilateral olarak gerçekleştirildi ve öncelikle dominant taraf, 3 dk sonra non-dominant taraf değerlendirildi.
Bulgular: Sporcuların H/Q peak tork oranı 60º/sn. hızda dominant taraf için % 53.55, non-dominant taraf için % 55.47 bulunurken 180º/sn. hızda dominant taraf için % 59.05, non-dominant taraf için % 61.34 bulundu. H/Q peak tork oranı dominant ve non-dominant taraf arasında karşılaştırıldığında her iki açısal hızda da farklılık bulunmadı (p>0,05). Sağ ve sol ekstremiteler asimetri açısından karşılaştırıldığında diz fleksiyon ve ekstansiyon izokinetik kas kuvveti farkının her iki açısal hızda da %10 un altında olduğu belirlendi. Bu durumun literatür ile uyumlu olduğu ve sağ-sol taraf arasında bir asimetri olmadığı sonucuna varıldı.
Sonuç: Çalışmamız sonucunda Görme engelli uzun mesafe koşucularında 180º/sn. açısal hızda H/Q oranının normal sınırlardan daha düşük ve her iki tarafta diz fleksörleri aleyhinde olması yaralanma açısından risk oluşturmaktadır. Spor yaralanmalarının önlenmesi açısından sporcuların her açısal hıza özgü olan kas kuvvet dengesinin korunması ve spora özgü egzersizlerle çalıştırılması gereklidir.
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